Study to Determine the Effects of Pre-warming on OR Patient Temperatures and Surgical Outcomes
Randomized, Prospective Study to Determine the Effects of Pre-warming on OR Patient Temperatures and Perioperative Surgical Outcomes
1 other identifier
interventional
220
1 country
1
Brief Summary
The application of active warming to patients whether awake or under general anesthesia has been proven safe in numerous studies and it is common practice to use warmers. The warmers are commonly used with both the supplied blankets and also with hospital blankets. Subjects receiving standard care will not benefit from this study. Subjects in the investigational group may benefit in several ways:
- Increased comfort in the pre-operative period by being warmer
- Decreased incidence of mild hypothermia
- Possible decreased incidence of transfusion with less bleeding
- Possible decreased pain and discomfort in the Post-Anesthesia Care Unit (PACU)
- Possible shorter stay in the PACU and overall Length of Stay (LOS)
- Possible decreased risk for surgical site infection
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 25, 2014
CompletedFirst Posted
Study publicly available on registry
June 30, 2014
CompletedStudy Start
First participant enrolled
September 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedOctober 2, 2024
September 1, 2024
1.2 years
June 25, 2014
September 30, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Duration of hypothermia
The primary endpoint is duration of hypothermia as measured by the area under the curve (AUC). This is achieved by recording patient temperature readings continuously from baseline (prior to initiation of 30 minutes if active or passive pre-warming) until PACU discharge.
Up to 12 hours, until PACU discharge
Study Arms (2)
Bair PawsPatient Adjustable Warming System
OTHERBair PawsPatient Adjustable Warming System for active pre-warming
Passive pre-warming
OTHERPassive pre-warming
Interventions
Bair Paws system uses forced-air warming. This system will be used for patients randomized to active pre-warming.
Eligibility Criteria
You may qualify if:
- Elective or "urgent" surgery under general anesthesia
- ≥19 years but ≤85 years of age
- Able to provide informed consent.
You may not qualify if:
- Refusal of Informed consent
- Metabolic derangement/drug therapy already affecting thermal homeostasis
- Preexisting hypothermia (\<35.5 degreeC) or hyperthermia (\>37.5 degreeC) (oral)
- Surgical procedure anticipated to be longer than 6 hours or less than 1 hour
- Emergency (category 1a) Surgery
- Patients undergoing exclusively spinal or epidural anesthesia
- Patients receiving aortic cross-clamping
- Patients receiving transdermal medications
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Solventum US LLClead
- 3Mcollaborator
Study Sites (1)
Royal Columbian Hospital
Vancouver, British Columbia, V3L 3W7, Canada
Related Publications (1)
Lau A, Lowlaavar N, Cooke EM, West N, German A, Morse DJ, Gorges M, Merchant RN. Effect of preoperative warming on intraoperative hypothermia: a randomized-controlled trial. Can J Anaesth. 2018 Sep;65(9):1029-1040. doi: 10.1007/s12630-018-1161-8. Epub 2018 Jun 5.
PMID: 29872966DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Richard Merchant, MD
Staff Anesthesiologist
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 25, 2014
First Posted
June 30, 2014
Study Start
September 1, 2014
Primary Completion
December 1, 2015
Study Completion
December 1, 2015
Last Updated
October 2, 2024
Record last verified: 2024-09